Malignant disease of conjunctiva / by Freeland Fergus.

  • Fergus, A. Freeland (Andrew Freeland), 1858-1932.
Date:
[1905?]
Catalogue details

Licence: In copyright

Credit: Malignant disease of conjunctiva / by Freeland Fergus. Source: Wellcome Collection.

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    was removed, and a month afterwards the patient went home. There was still fair vision in the eye and there was no sign of extension into the orbit. On March 8th, 1904, the patient returned to the eye infirmary, and the following is an epitome of the notes made of her case by the House Surgeon. The tumour has recurred. It presents to the inner side of the eyeball and appears to affect the bulbar and palpebral conjunctiva. The movements of the ball, which is displaced outwards, are limited, and the mass which projects forwards separates the lids somewhat. It is pale, soft, and oedematous, and the surface is irregular. The patient is free from pain and there are no enlarged glands. Vision = At this period I was seized with influenza, and the care of the patient passed into the hands of my colleague, Dr. Lewis McMillan. Just before leaving duty I removed two portions of the tumour ; one of these I sent to Mr. Devereux Marshall, who kindly examined it and sent me an extremely interesting report. He, perhaps, will be good enough to favour the Society with an account of his observations. The other portion was sent to Professor Muir, of the Pathological Department of the University of Glasgow. The following is Professor Muir’s report : Pathological Department, Western Infirmary, March 16th, 1904. The tumour consists of masses of cellular connective tissue which are pushing up the conjunctival epithelium in a papillomatous manner, the epithelium being at places thinned, especially over the depressions, and at others somewhat thickened. In the central parts of. the masses are fairly numerous and tliin-walled vessels, many of which are surrounded by a fibrous or somewhat myxoma¬ tous tissue. The peripheral parts (i. e., under the epitlie-